Insurer Must Pay for Boy’s Breast Reduction Surgery, N.Y. Court Rules

April 5, 2007

  • April 5, 2007 at 4:04 am
    Amazed says:
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    Since ignorance is bliss- you should be a very, very happy person… huh?

  • April 5, 2007 at 4:09 am
    Mike says:
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    Ignorance…because you know so much about me…because you have your own personal problems? Please…your or my own personal issues with this topic aside, you can not argue the number of children who are obese in our society. Sorry you have hair on your chin…but really your own issues have nothing to do with this article.

  • April 5, 2007 at 4:10 am
    Danny says:
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    The whole question is wether or not this is a medically necessary procedure. That is what the insurance policy agrees to cover. Feelings and lets just pay this one so we wont look bad are not good criteria on which to pay a claim. I hate this for the boy, but the policy should cover what it is designed to and both parties agreed to. The buyer knows or at least has the info when they sign up on what the policy does and does not pay for.

  • April 5, 2007 at 4:12 am
    Mike says:
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    Danny I couldn\’t agree more with you. Well said

  • April 5, 2007 at 4:19 am
    TPG says:
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    Let\’s not give Claudia a hard time. Props to her for accepting her situation and not looking for someone to blame!!!

  • April 5, 2007 at 4:23 am
    Amazed says:
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    Mike you just proved my point. You addressed two different issues under one s/n. Claudia talked about her condition not I, I am the one that said you were ignorant. Congrats… Here\’s your sign.

  • April 5, 2007 at 4:25 am
    Amazed says:
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    Do you consider mental health a \”medical\” condition? If no we shouldnt need insurance for that should we?

  • April 5, 2007 at 4:27 am
    Jewel says:
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    \”The buyer knows or at least has the info when they sign up on what the policy does and does not pay for.\”

    I disagree slightly on this point. When was the last time you saw a health insurance policy with a column of included diseases and a column of excluded diseases? It is definitely not as straightforward as a homeowners or auto policy. It might state that medically necessary surgeries are covered (obviously) and cosmetic surgeries are not (obviously). But, does it really break it down disease by disease?

    Cancer- covered
    Muscular Dystrophy- Covered
    Bilateral Gynecomastia- Not covered

    I am not saying it should or should not be covered. I am just saying your policy doesn\’t list by diseases. It then becomes a matter of each side trying to prove their case.

    Personally, I am going back and forth on my opinion. You are arguing some good points everyone.

  • April 5, 2007 at 4:27 am
    Amazed says:
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    Nah- you must have designed this site- it posted 3 times due to a programming glitch.

  • April 5, 2007 at 4:29 am
    Claudia says:
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    For those who made fun of me or missed my point, let me try again. I\’m saying my condition could be considered a similar situation to this young man\’s. But, since my insurance company has rejected me (and many other women), instead of suing, i\’m going to work hard and pay for the surgery myself. (and thanks for the waxing option, but that doesn\’t \”cure\” the problem, and is pretty expensive itself. if i saved that money instead of going to the salon to wax it, i could have money saved up to just do the laser surgery). I\’m not mad at anyone for my condition, and while it is noticeable if you look closely, and it is embarassing, I don\’t want a dang hand-out. This condition doesn\’t prevent me from doing anything nor will it shorten my life expectancy. THAT is what i\’m saying about this young man. embarassing as it may be, at whatever age, it DOES NOT hinder his life, ERGO, should not be covered by insurance.



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